Northeastern Province
Membership Application
Purpose for Application
Are you seeking covering or affiliation?
__Covering __Affiliation __ (Please indicate with an X)
Member Personal Information Contact Information
Full Name: _________________________
Phone Number: _____________ Date of Birth: ___________
Personal Email: _____________ Gender: ________ Work Email: _______________
Address:
Street: _________ City: ___________ State: _________ ZIP Code: _______
Church Information
Name of Church ____________________Address: _________________________________
Email: ___________________________ Name of Pastor: ____________________________
Phone Number: __________________
How long has the church/ministry been in existence?
Church Website: ___________________
Size of Membership
Less than 100
100-300
300-500
500-800
800-1000
1000-1500
More than 1500
Marital Status: (Please indicate with an X)
Single ____
Married ___
Divorced ____
Separated____
Widowed ____
Other than preaching, please describe other gifts.
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
What attracted you to this fellowship?______________________________________________________________
_______________________________________________________________________________________________________________________________________________________________________________________
Membership Commitment: By signing below, I affirm that I understand and agree to uphold the beliefs, values, and mission of Global United Fellowship.
Signature: ________________________ Date: __________________
Important:
Please attach a copy of your payment receipt to Global United Fellowship.
https://globalunitedfellowship.org/make-membership-payment/



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